{extend name='template/base'}{/extend}
{block name='title'}2342342{/block}
{block name='footer'}{/block}
{block name='content'}
<header class="header">
    <div>
        <a class="goback"><i class="iconfont icon-zuoyoujiantou-copy-copy-copy"></i></a>
        送水员注册
    </div>
</header>
<div class="pages">
    <form id="reg-form" name="reg-form" method="post">
        <div class="mui-input-group bg-transparent">
            <div class="mui-input-row">
                <label>姓名</label>
                <input id="name" name="name" type="text" class="mui-input-clear mui-input" placeholder="请输入姓名">
            </div>
            <div class="mui-input-row">
                <label>联系电话</label>
                <input id="mobile" name="mobile" type="text" class="mui-input-clear mui-input" placeholder="请输入联系方式">
            </div>
            <div class="mui-input-row">
                <label>微信号</label>
                <input id="wechat" name="wechat" type="text" class="mui-input-clear mui-input" placeholder="请输入您的微信号">
            </div>
            <div class="mui-input-row">
                <label>所在门店</label>
                <select class="bg-transparent" name="store_id">
                <option selected disabled style="display: none;">请选择门店</option>
                {volist name='store' id='vo'}
                <option value="{$vo.id}">{$vo.name}</option>
                {/volist}

                </select>
            </div>
        </div>
        <footer class="btn-bottom">
            <button type="button" class="reg-btn">注 册</button>
        </footer>
    </form>
</div>
{/block}


{block name='script_extra'}
<script>
    var register_submit_url="{:url('Account/register_delivery_submit')}";
    var result_url="{:url('Account/reg_delivery_result')}"
</script>
<script>
    require(['account/reg_delivery'])
</script>
{/block}
